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Individual

MS. ELIZABETH ANNE POTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT, ATR

Contact information

Practice address
300 COTTONWOOD AVE, SUITE 8, HARTLAND, WI 53029-2043
(414) 639-2441
Mailing address
300 COTTONWOOD AVE, SUITE 8, HARTLAND, WI 53029-2043
(414) 639-2441

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
876-226
WI

Other

Enumeration date
09/23/2016
Last updated
09/23/2016
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